中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
13期
1515-1518
,共4页
整体护理%慢性心力衰竭%负性情绪%生活质量
整體護理%慢性心力衰竭%負性情緒%生活質量
정체호리%만성심력쇠갈%부성정서%생활질량
Holistic nursing%Chronic heart failure%Negative emotion%Quality of life
目的 探讨整体护理对慢性心力衰竭(CHF)患者负性情绪及生活质量的影响.方法 将118例CHF患者按数字随机表法分为观察组和对照组,两组各59例,对照组予以常规护理,观察组在此基础上实施心理护理、基础护理、药物护理等整体护理干预措施.比较两组患者焦虑或抑郁负性情绪及生活质量、6 min步行距离、代谢当量及生活质量评分等临床指标以及复发入院率.结果 共发放问卷118份,收回有效问卷118份,有效回收率100％.入院时两组患者SAS、SDS得分比较,差异无统计学意义(P＞0.05).出院时观察组SAS,SDS得分分别为(37.25±5.57),(41.58±7.49)分,明显低于对照组的(43.37±5.62),(45.32±7.58)分,两组比较差异有统计学意义(t值分别为2.53,3.08；P＜0.05)；对照组及观察组6 min步行距离分别为(104.15±45.36),(253.07±75.68)m,代谢当量分别为(3.98±1.19),(5.68±0.78),生活质量评分分别为(28.26±10.65),(18.73±11.57)分,两组比较,差异均有统计学意义(t值分别为2.45,3.16,3.04;P＜0.05).与对照组相比,观察组再次住院率明显下降(92.31％/50.87％),两组比较,差异有统计学意义(x2 =5.48,P＜0.05).结论 整体护理干预能有效提高慢性心力衰竭患者的生活质量,改善负性情绪.
目的 探討整體護理對慢性心力衰竭(CHF)患者負性情緒及生活質量的影響.方法 將118例CHF患者按數字隨機錶法分為觀察組和對照組,兩組各59例,對照組予以常規護理,觀察組在此基礎上實施心理護理、基礎護理、藥物護理等整體護理榦預措施.比較兩組患者焦慮或抑鬱負性情緒及生活質量、6 min步行距離、代謝噹量及生活質量評分等臨床指標以及複髮入院率.結果 共髮放問捲118份,收迴有效問捲118份,有效迴收率100％.入院時兩組患者SAS、SDS得分比較,差異無統計學意義(P＞0.05).齣院時觀察組SAS,SDS得分分彆為(37.25±5.57),(41.58±7.49)分,明顯低于對照組的(43.37±5.62),(45.32±7.58)分,兩組比較差異有統計學意義(t值分彆為2.53,3.08；P＜0.05)；對照組及觀察組6 min步行距離分彆為(104.15±45.36),(253.07±75.68)m,代謝噹量分彆為(3.98±1.19),(5.68±0.78),生活質量評分分彆為(28.26±10.65),(18.73±11.57)分,兩組比較,差異均有統計學意義(t值分彆為2.45,3.16,3.04;P＜0.05).與對照組相比,觀察組再次住院率明顯下降(92.31％/50.87％),兩組比較,差異有統計學意義(x2 =5.48,P＜0.05).結論 整體護理榦預能有效提高慢性心力衰竭患者的生活質量,改善負性情緒.
목적 탐토정체호리대만성심력쇠갈(CHF)환자부성정서급생활질량적영향.방법 장118례CHF환자안수자수궤표법분위관찰조화대조조,량조각59례,대조조여이상규호리,관찰조재차기출상실시심리호리、기출호리、약물호리등정체호리간예조시.비교량조환자초필혹억욱부성정서급생활질량、6 min보행거리、대사당량급생활질량평분등림상지표이급복발입원솔.결과 공발방문권118빈,수회유효문권118빈,유효회수솔100％.입원시량조환자SAS、SDS득분비교,차이무통계학의의(P＞0.05).출원시관찰조SAS,SDS득분분별위(37.25±5.57),(41.58±7.49)분,명현저우대조조적(43.37±5.62),(45.32±7.58)분,량조비교차이유통계학의의(t치분별위2.53,3.08；P＜0.05)；대조조급관찰조6 min보행거리분별위(104.15±45.36),(253.07±75.68)m,대사당량분별위(3.98±1.19),(5.68±0.78),생활질량평분분별위(28.26±10.65),(18.73±11.57)분,량조비교,차이균유통계학의의(t치분별위2.45,3.16,3.04;P＜0.05).여대조조상비,관찰조재차주원솔명현하강(92.31％/50.87％),량조비교,차이유통계학의의(x2 =5.48,P＜0.05).결론 정체호리간예능유효제고만성심력쇠갈환자적생활질량,개선부성정서.
Objective To investigate the effect of holistic nursing care on the negative emotion and life quality of patients with chronic heart failure(CHF).Methods Totals of 118 patients with CHF were randomly divided into intervention group(n =59) and control group(n =59).The control group received routine nursing care,while the intervention group were given holistic nursing intervention such as mental care,basic nursing,medicine nursing.Then,anxiety and depression of patients,quality of life,6 min walking distance,metabolic equivalents,and quality of life score and clinical indicators,as well as relapse and hospitalization rate were observed and compared.Results No significant difference was found in the SAS and SDS of patients when admitted to hospital (P ＞ 0.05).The SAS and SDS scores of control group were significantly higher than that in intervention group when discharge from hospital [(43.37 ± 5.62) vs (37.25 ± 5.57),(45.32 ± 7.58) vs (41.58 ±7.49)],the difference was statistical significance (t =2.53,3.08,P ＜ 0.05).And the 6 min walking distance [(253.07 ±75.68) mvs (104.15 ±45.36) m],clinical indicators[(5.68 ±0.78) vs (3.98 ± 1.19)],life quality score [(28.26 ± 10.65) vs (18.73 ± 11.57)] in intervention group were significantly higher than that in control group (t =2.45,3.16,3.04,respectively; P ＜ 0.05).Recurrent hospitalization rate in intervention group was significantly lower than that in control group (50.87％ vs 92.31％),the difference was statistical significance (x2 =5.48,P ＜ 0.05).Conclusions The holistic nursing intervention can effectively improve patients' satisfaction and promote recovery for the patients.
